Insurance Specialist

Henry Ford Health; Detroit (MI); On-site; USD 25,000 - 36,000; Full time

Job summary

Henry Ford Health in Detroit is seeking an Insurance Verification Specialist to verify and secure patient insurance data for pre-admission and admission processes. You will support accurate billing and a smooth patient experience by resolving eligibility issues and ensuring complete information.

The role emphasizes attention to detail, strong computer skills, and knowledge of COB rules, with opportunities to work with Epic or other payor systems as noted in preferred qualifications.

Qualifications

• High school diploma or GED is required.
• Two years of healthcare insurance eligibility, verification, or billing experience.
• Knowledge of insurance coverage, COB rules, and processing procedures.
• Experience with insurance payor systems.
• Strong computer skills and working knowledge of Microsoft Office.

Responsibilities

• Verify insurance eligibility and benefits for patients to ensure accurate billing and secure accounts.
• Investigate and resolve problem accounts to determine primary insurance and COB information.
• Ensure all requirements, including referrals and authorizations, are met prior to patient discharge.
• Work in a fast-paced environment, managing multiple tasks with efficiency and accuracy.

Skills

Insurance verification

Attention to detail

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

Company Description

Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford's care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation's most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus.

Job Description

Join our team at Henry Ford Health. Our department plays a critical role in ensuring the financial integrity of patient accounts across the health system. We are dedicated to providing seamless pre-admission, admission, and outpatient services, ensuring accurate insurance verification and billing processes. Our team thrives in a dynamic, fast-paced environment, supporting the broader mission of Henry Ford Health to deliver exceptional care to our patients and communities.

Role Overview

As an Insurance Verification Specialist, you will be responsible for verifying and securing patient financial and insurance information, ensuring accuracy and completeness for all pre-admissions, admissions, and scheduled outpatient services. Your work directly supports patient care by resolving insurance issues and confirming eligibility, contributing to a smooth healthcare experience for our patients.

Why Henry Ford Health

At Henry Ford Health, we are relentless advocates for exceptional care for our patients, communities, and each other. We come to do meaningful work and grow our careers, and we stay for the connection, support, and shared pride in making the impossible, possible.

What You Will Do

• Verify insurance eligibility and benefits for patients to ensure accurate billing and secure accounts.
• Investigate and resolve problem accounts to determine primary insurance and coordination of benefits (COB) information.
• Ensure all insurance requirements, including referrals and authorizations, are met prior to patient discharge.
• Work in a fast-paced environment, managing multiple tasks and frequent interruptions with efficiency and accuracy.

Qualifications

Required:

• High school diploma or GED equivalent.
• Two (2) years of experience in healthcare insurance eligibility, verification, or billing in a hospital/medical office setting.
• Knowledge of various insurance coverage, COB rules, and processing procedures.
• Experience with insurance payor systems.
• Strong computer skills and working knowledge of Microsoft Office products.

Preferred:

• EPIC training/experience.
• ICD-10 medical terminology experience.

Additional Information

At Henry Ford Health, we foster an environment of continuous learning and professional growth. You'll collaborate with a diverse team of dedicated professionals, all united by a mission to provide exceptional care. We encourage innovation, support career development, and provide opportunities to make a meaningful impact in healthcare.